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Organization
HILLSIDE REHAB LLC
Active
Organization
HILLSIDE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERINBHAI PATEL MD (OWNER)
(210) 742-6555
Entity
Organization
Contact information
Practice address
12414 TOEPPERWEIN RD, LIVE OAK, TX 78233-3230
(210) 742-6555
(224) 623-0079
Mailing address
12414 TOEPPERWEIN RD, LIVE OAK, TX 78233-3230
(210) 742-6555
(224) 623-0079
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604995
604995
TX
Enumeration date
06/10/2019
Last updated
06/10/2019
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